65 results match your criteria: "Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology[Affiliation]"

Benefits and harms of non-surgical and non-pharmacological management of osteoporotic vertebral fractures: A systematic review and meta-analysis.

Braz J Phys Ther

April 2022

Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, La Trobe University, Victoria, Australia; Allied Health Clinical Research Office, Eastern Health, Victoria, Australia.

Background: Osteoporotic vertebral fractures affect a large number of older adults OBJECTIVES: Systematically review evidence of the benefits and harms of non-surgical and non-pharmacological management of people with osteoporotic vertebral fractures compared with standard care (control); and evaluate the benefits and harms of non-surgical and non-pharmacological management of people with osteoporotic vertebral fractures compared with an alternative non-pharmacological, non-invasive intervention.

Design: Systematic review and meta-analysis of randomized controlled trials. Five electronic databases (CINAHL, EMBASE, MEDLINE, PUBMED, and COCHRANE) were searched.

View Article and Find Full Text PDF

Non-steroidal anti-inflammatory drugs for acute gout.

Cochrane Database Syst Rev

December 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University; Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology, Cabrini Health, Melbourne, Australia.

Background: Gout is an inflammatory arthritis resulting from the deposition of monosodium urate crystals in and around joints. Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to treat acute gout. This is an update of a Cochrane Review first published in 2014.

View Article and Find Full Text PDF

Dietary supplements for chronic gout.

Cochrane Database Syst Rev

November 2021

Instituto de Salud Musculoesquelética, Madrid, Spain.

Background: Dietary supplements are frequently used for the treatment of several medical conditions, both prescribed by physicians or self administered. However, evidence of benefit and safety of these supplements is usually limited or absent.

Objectives: To assess the efficacy and safety of dietary supplementation for people with chronic gout.

View Article and Find Full Text PDF

Autologous blood and platelet-rich plasma injection therapy for lateral elbow pain.

Cochrane Database Syst Rev

September 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University; Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology, Cabrini Health, Melbourne, Australia.

Background: Autologous whole blood or platelet-rich plasma (PRP) injections are commonly used to treat lateral elbow pain (also known as tennis elbow or lateral epicondylitis or epicondylalgia). Based on animal models and observational studies, these injections may modulate tendon injury healing, but randomised controlled trials have reported inconsistent results regarding benefit for people with lateral elbow pain.

Objectives: To review current evidence on the benefit and safety of autologous whole blood or platelet-rich plasma (PRP) injection for treatment of people with lateral elbow pain.

View Article and Find Full Text PDF
Article Synopsis
  • General practice plays a key role in Australia's healthcare, and the POLAR database uses anonymized health records to analyze this sector, specifically focusing on musculoskeletal conditions in Victoria.
  • The study is a retrospective cohort analysis using data from general practices across three health networks, examining patients with specific conditions who had GP consultations between 2014 and 2018, ensuring data quality and continuity.
  • The paper emphasizes the importance of clear methodologies in research to enable replication, and has received ethics approval for conducting the study through relevant institutions.
View Article and Find Full Text PDF

Reported practices related to, and capability to provide, first-line knee osteoarthritis treatments: a survey of 1064 Australian physical therapists.

Braz J Phys Ther

December 2021

La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia; Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Australia.

Background: Physical therapists play a key role in providing first-line knee osteoarthritis treatments, including patient education and exercise therapy.

Objectives: Describe Australian physical therapists' awareness of guidelines; reported practices; and beliefs about capability, opportunity, motivation, and evidence.

Methods: An online cross-sectional survey was completed by physical therapists prior to attending the Good Living with osteoArthritis from Denmark (GLA:D®) Australia training courses (March 2017 to December 2019).

View Article and Find Full Text PDF

Consumer understanding of terms used in imaging reports requested for low back pain: a cross-sectional survey.

BMJ Open

September 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Objectives: To investigate (1) self-reported societal comprehension of common and usually non-serious terms found in lumbar spine imaging reports and (2) its relationship to perceived seriousness, likely persistence of low back pain (LBP), fear of movement, back beliefs and history and intensity of LBP.

Design: Cross-sectional online survey of the general public.

Setting: Five English-speaking countries: UK, USA, Canada, New Zealand and Australia.

View Article and Find Full Text PDF

Colchicine for acute gout.

Cochrane Database Syst Rev

August 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University; Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology, Cabrini Health, Melbourne, Australia.

Background: This is an updated Cochrane Review, first published in 2006 and updated in 2014. Gout is one of the most common rheumatic diseases worldwide. Despite the use of colchicine as one of the first-line therapies for the treatment of acute gout, evidence for its benefits and harms is relatively limited.

View Article and Find Full Text PDF

Image-guided glucocorticoid injection versus injection without image guidance for shoulder pain.

Cochrane Database Syst Rev

August 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University; Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology, Cabrini Health, Melbourne, Australia.

Background: Despite widespread use, our 2012 Cochrane review did not confirm that use of imaging to guide glucocorticoid injection for people with shoulder pain improves its efficacy.

Objectives: To update our review and assess the benefits and harms of image-guided glucocorticoid injection compared to non-image-guided injection for patients with shoulder pain.

Search Methods: We updated the search of the Cochrane Central Register of Controlled Trials (CENTRAL, via Ovid), MEDLINE (Ovid), Embase (Ovid) and clinicaltrials.

View Article and Find Full Text PDF

How do people understand overtesting and overdiagnosis? Systematic review and meta-synthesis of qualitative research.

Soc Sci Med

September 2021

Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology, Cabrini Health, 154 Wattletree Rd, Malvern, VIC 3144, Australia; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, VIC 3004, Australia.

Rationale: The public should be informed about overtesting and overdiagnosis. Diverse qualitative studies have examined public understandings of this information. A synthesis was needed to systematise the body of evidence and yield new, generalisable insights.

View Article and Find Full Text PDF

Evaluation of placebo fidelity and trial design methodology in placebo-controlled surgical trials of musculoskeletal conditions: a systematic review.

Pain

April 2022

Faculty of Medicine and Health, School of Health Sciences, Institute of Bone and Joint Research, the Kolling Institute, The University of Sydney, New South Wales, Australia.

The number of placebo surgical trials on musculoskeletal conditions is increasing, but little is known about the quality of their design and methods. This review aimed to (1) assess the level of placebo fidelity (ie, degree to which the placebo control mimicked the index procedure) in placebo trials of musculoskeletal surgery, (2) describe the trials' methodological features using the adapted Applying Surgical Placebo in Randomised Evaluations (ASPIRE) checklist, and (3) describe each trial's characteristics. We searched 4 electronic databases from inception until February 18, 2021, for randomised trials of surgery that included a placebo control for any musculoskeletal condition.

View Article and Find Full Text PDF

Optimising treatment for patients with rotator cuff disorders.

Lancet

July 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Malvern, VIC, Australia; Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology, Cabrini Health, Malvern, VIC 3144, Australia.

View Article and Find Full Text PDF

Objective: Recent studies suggest many patients with non-specific low back pain presenting to public hospital EDs receive low-value care. The primary aim was to describe management of patients presenting with low back pain to the ED of a private hospital in Melbourne, Australia, and received a final ED diagnosis of non-specific low back pain. We also determined predictors of hospital admission.

View Article and Find Full Text PDF